Individual
SHABANA Y AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
59-25 KISSENA BLVD., FLUSHING, NY 11355
(718) 670-6100
(718) 670-6110
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
192726
NY
Other
Enumeration date
05/23/2006
Last updated
10/15/2008
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